Tyler Ellis Smith, DO | |
800 Garfield Ave Rm G102, Parkersburg, WV 26101-5376 | |
(304) 424-4575 | |
(304) 424-4577 |
Full Name | Tyler Ellis Smith |
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Gender | Male |
Speciality | Hospitalist |
Location | 800 Garfield Ave Rm G102, Parkersburg, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023694049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 4421 (West Virginia) | Primary |
Entity Name | Camden-clark Physician Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710125430 PECOS PAC ID: 5294885661 Enrollment ID: O20090604000570 |
Mailing Address | Practice Location Address |
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Tyler Ellis Smith, DO 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5376 Ph: (304) 424-4575 | Tyler Ellis Smith, DO 800 Garfield Ave Rm G102, Parkersburg, WV 26101-5376 Ph: (304) 424-4575 |
Winnie Roy, Hospitalist Medicare: Medicare Enrolled Practice Location: 800 Garfield Ave Rm G102, Parkersburg, WV 26101 Phone: 304-424-4575 Fax: 304-424-4577 | |
Jordan Beckett, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 414 Grand Park Dr Ste 1, Parkersburg, WV 26105 Phone: 304-599-8000 Fax: 304-599-8003 | |
Mr. Besham Kumar, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 800 Garfield Ave, Parkersburg, WV 26101 Phone: 304-420-7161 Fax: 304-420-7162 |